Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report-
Pneumothorax associated with a pneumoperitonium in laparoscopic surgery is rare but can cause life-threatening complications. A 62-year-old man was scheduled for a laparoscopy-assisted Billroth-I gastrectomy under general anesthesia. Approximately 70 minutes after insufflating carbon dioxide into th...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2010-04-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-58-405.pdf |
| _version_ | 1828484824941199360 |
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| author | Su-Man Cha Yong-Hun Jung Dae-Sung Kim Hyun Kang Chong-Wha Baek Gill-Hoi Koo |
| author_facet | Su-Man Cha Yong-Hun Jung Dae-Sung Kim Hyun Kang Chong-Wha Baek Gill-Hoi Koo |
| author_sort | Su-Man Cha |
| collection | DOAJ |
| description | Pneumothorax associated with a pneumoperitonium in laparoscopic surgery is rare but can cause life-threatening complications. A 62-year-old man was scheduled for a laparoscopy-assisted Billroth-I gastrectomy under general anesthesia. Approximately 70 minutes after insufflating carbon dioxide into the intraabdominal cavity at a pressure of 12 mmHg, the peak inspiratory pressure increased, while the oxygen saturation decreased. The pneumothorax of the left lung was evident on the intraoperative chest radiograph. The pneumothorax improved after inserting a catheter into the affected area. The cause of the pneumothorax was unknown but an anatomical defect is believed responsible. This report shows that pneumothorax developed under an intraabdominal pressure in the conventional safety range. Careful monitoring and immediate treatment is necessary to prevent the condition from worsening. |
| first_indexed | 2024-12-11T09:02:18Z |
| format | Article |
| id | doaj.art-a67724f7bf5647dbaa9a32069a03b2f5 |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-11T09:02:18Z |
| publishDate | 2010-04-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-a67724f7bf5647dbaa9a32069a03b2f52022-12-22T01:13:43ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632010-04-0158440540810.4097/kjae.2010.58.4.4056894Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report-Su-Man Cha0Yong-Hun Jung1Dae-Sung Kim2Hyun Kang3Chong-Wha Baek4Gill-Hoi Koo5Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.Pneumothorax associated with a pneumoperitonium in laparoscopic surgery is rare but can cause life-threatening complications. A 62-year-old man was scheduled for a laparoscopy-assisted Billroth-I gastrectomy under general anesthesia. Approximately 70 minutes after insufflating carbon dioxide into the intraabdominal cavity at a pressure of 12 mmHg, the peak inspiratory pressure increased, while the oxygen saturation decreased. The pneumothorax of the left lung was evident on the intraoperative chest radiograph. The pneumothorax improved after inserting a catheter into the affected area. The cause of the pneumothorax was unknown but an anatomical defect is believed responsible. This report shows that pneumothorax developed under an intraabdominal pressure in the conventional safety range. Careful monitoring and immediate treatment is necessary to prevent the condition from worsening.http://ekja.org/upload/pdf/kjae-58-405.pdfintraabdominal pressurelaparoscopic surgerypneumoperitoneumpneumothorax |
| spellingShingle | Su-Man Cha Yong-Hun Jung Dae-Sung Kim Hyun Kang Chong-Wha Baek Gill-Hoi Koo Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report- Korean Journal of Anesthesiology intraabdominal pressure laparoscopic surgery pneumoperitoneum pneumothorax |
| title | Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report- |
| title_full | Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report- |
| title_fullStr | Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report- |
| title_full_unstemmed | Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report- |
| title_short | Spontaneous pneumothorax during laparoscopy-assisted Billroth-I gastrectomy -A case report- |
| title_sort | spontaneous pneumothorax during laparoscopy assisted billroth i gastrectomy a case report |
| topic | intraabdominal pressure laparoscopic surgery pneumoperitoneum pneumothorax |
| url | http://ekja.org/upload/pdf/kjae-58-405.pdf |
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